GLENN WEIDENBACHER, MD
Pediatrics
Active
Individual
NPI: 1801873674
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Pediatrics | 208000000X | Yes | 48083 (MN) |
Frequently Asked Questions
NPI 1801873674 is the National Provider Identifier for GLENN WEIDENBACHER, MD, a Pediatrics provider located in Big Lake, MN. This NPI was enumerated on December 22, 2005.
GLENN WEIDENBACHER, MD practices at 16830 198TH AVE NW, BIG LAKE CLINIC, Big Lake, MN 55309.
Quick Facts
- NPI
- 1801873674
- Type
- Individual
- Enumerated
- Dec 22, 2005
- Last Updated
- Mar 10, 2008
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